KEISHA SHORT MD
NPI 1073180055
Family Medicine in Brooklyn, NY
About Keisha Short Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEISHA SHORT MD (NPI 1073180055) is an individual family medicine provider in Brooklyn, New York, licensed in New York (331107) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jamaica.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keisha Short Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Keisha Short reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11221
- Reassigned Medicare billing, New York enrollment
- 13 clinicians in this Medicare group
New York, NY 10128
- Reassigned Medicare billing, New York enrollment
- 724 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keisha Short's NPI number?
The NPI number for Keisha Short is 1073180055. It was assigned to this individual provider in the NPPES registry on June 8, 2021.
Where is Keisha Short located?
Keisha Short practices at 233 Nostrand Ave, Brooklyn, NY 11205. The listed phone number is (718) 826-5900.
What is Keisha Short's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Keisha Short enrolled in Medicare?
Yes. Keisha Short is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Keisha Short's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keisha Short reassigns Medicare benefits to 2 organizations: Urban Wellness Physicians, PLLC (Brooklyn, NY) and Advantagecare Physicians PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keisha Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keisha Short was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keisha Short, MD · NPI 1073180055
Family Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 8, 2021.
## Identity
- **NPI:** 1073180055 (Entity type: Individual)
- **Enumerated:** June 8, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 331107 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 233 NOSTRAND AVE, Brooklyn, NY 11205-4924
- **Phone:** (718) 826-5900 · **Fax:** (718) 826-5860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Urban Wellness Physicians, PLLC (NPI 1669111035, Brooklyn, NY); Advantagecare Physicians PC (NPI 1336578772, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1073180055) · Data from the CMS NPPES public registry.